Mehala Subramaniapillai1, Benjamin I Goldstein2, Bradley J MacIntosh3, Daphne J Korczak4, Xiao Ou2, Antonette Scavone2, Kelly Arbour-Nicitopoulos1, Guy Faulkner5. 1. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada. 2. Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, Canada. 3. Canadian Partnership for Stroke Recovery, Sunnybrook Health Sciences Centre, Canada. 4. Sick Kids Hospital, Canada. 5. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada; University of British Columbia, Vancouver, BC, Canada. Electronic address: guy.faulkner@ubc.ca.
Abstract
BACKGROUND: Exercise may be a practical, non-pharmacological strategy for symptom and health management for adolescents with bipolar disorder (BD). The purpose of this study was to determine if adolescents with BD experience changes in exercise-induced feelings from one bout of exercise similar to their otherwise healthy peers. METHODS: Thirty-two adolescents with BD (Age (SD)=16.91 (1.4)) and 31 healthy adolescents (Age (SD)=15.68 (1.76)) completed the Exercise-Induced Feeling Inventory (EFI) before and after a 20-min bout of moderate intensity exercise (heart rate goal of 60-80% of the age estimated maximum [220 - 0.7*age]) on a cycle ergometer. Repeated-Measures ANCOVA was conducted on the four EFI subscales, controlling for age and BMI. RESULTS: There were no significant between-group differences on any subscales. An increase in Physical Exhaustion was of negligible effect size in both groups (BD: d=0.05; CONTROL: d=0.16). There was an improvement in Revitalization (BD: d=0.49; CONTROL: d=0.61) and a reduction in Tranquility (BD: d=-0.33; CONTROL: d=-0.29) post-exercise of moderate and small effect size, respectively. The control group reported an increase in Positive Engagement that was of small-to-medium effect size, (d=0.41) with negligible change in the BD group (d=0.17). Healthy adolescents reported a significantly greater tolerance for high intensity exercise than adolescents with BD. LIMITATIONS: Emotions were only assessed at two time points. CONCLUSIONS: Adolescents with BD experience similar exercise-induced emotional benefits as their healthy peers. Experimental research is needed to examine the role of exercise as a strategy to regulate mood-related symptoms.
BACKGROUND: Exercise may be a practical, non-pharmacological strategy for symptom and health management for adolescents with bipolar disorder (BD). The purpose of this study was to determine if adolescents with BD experience changes in exercise-induced feelings from one bout of exercise similar to their otherwise healthy peers. METHODS: Thirty-two adolescents with BD (Age (SD)=16.91 (1.4)) and 31 healthy adolescents (Age (SD)=15.68 (1.76)) completed the Exercise-Induced Feeling Inventory (EFI) before and after a 20-min bout of moderate intensity exercise (heart rate goal of 60-80% of the age estimated maximum [220 - 0.7*age]) on a cycle ergometer. Repeated-Measures ANCOVA was conducted on the four EFI subscales, controlling for age and BMI. RESULTS: There were no significant between-group differences on any subscales. An increase in Physical Exhaustion was of negligible effect size in both groups (BD: d=0.05; CONTROL: d=0.16). There was an improvement in Revitalization (BD: d=0.49; CONTROL: d=0.61) and a reduction in Tranquility (BD: d=-0.33; CONTROL: d=-0.29) post-exercise of moderate and small effect size, respectively. The control group reported an increase in Positive Engagement that was of small-to-medium effect size, (d=0.41) with negligible change in the BD group (d=0.17). Healthy adolescents reported a significantly greater tolerance for high intensity exercise than adolescents with BD. LIMITATIONS: Emotions were only assessed at two time points. CONCLUSIONS: Adolescents with BD experience similar exercise-induced emotional benefits as their healthy peers. Experimental research is needed to examine the role of exercise as a strategy to regulate mood-related symptoms.
Authors: Benjamin I Goldstein; Boris Birmaher; Gabrielle A Carlson; Melissa P DelBello; Robert L Findling; Mary Fristad; Robert A Kowatch; David J Miklowitz; Fabiano G Nery; Guillermo Perez-Algorta; Anna Van Meter; Cristian P Zeni; Christoph U Correll; Hyo-Won Kim; Janet Wozniak; Kiki D Chang; Manon Hillegers; Eric A Youngstrom Journal: Bipolar Disord Date: 2017-09-25 Impact factor: 6.744
Authors: Elena D Koch; Heike Tost; Urs Braun; Gabriela Gan; Marco Giurgiu; Iris Reinhard; Alexander Zipf; Andreas Meyer-Lindenberg; Ulrich W Ebner-Priemer; Markus Reichert Journal: Front Psychol Date: 2018-03-07